ALGORITHM FOR DIAGNOSIS OF ERYTHEMA MIGRANS IN CHILDREN
DOI:
https://doi.org/10.11603/1681-2727.2018.4.9771Keywords:
Lyme borreliosis, Borelia, children, Erythema migrans, diagnosis, ticks, questionnaireAbstract
The aim of the work – to establish the preconditions and the frequency of natural infection of B. burgdorferi sensu lato with mites selected after the bite of children in Ternopil region in different months of the year, as well as to determine the preventive methods for controlling the tick bites in children.
Materials and Methods. 291 children after mite bite were examined, All responded to the question of the Unified International Questionnaire. In the laboratory of the medical university, during July-October 2017, 169 mites taken from the skin of children were examined. Real-time PCR method was used, a two-stage serological examination was performed: ELISA screening test for the presence of IgM / IgG antibodies, Western blot.
Results. Lyme disease is manifested in many clinical forms. The younger the child, the more difficult it is to diagnose Lyme’s disease.
Conclusions. The high incidence of Lyme borreliosis cases among urban residents was noted (92.8 %). In 38.3 % of the patients from the moment of the tick bite to its removing more than 24 hours passed. Cases of the disease on Lime borellosis were registered for almost a year, with peaks in July and October. 58.0 % of ticks were infected. The presence of a contact with the mites affected by B. burgdorferi and the occurrence of a patient migrating with erythema (ME) is sufficient to diagnose Lyme’s disease and start treatment. With the help of two-stage serologic diagnosis, it was possible to detect antibodies to Borrelia burgdorferi sensu lato in 52.0 % of the examined children.
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